Dale, Lourdes Portales

Dale, Lourdes Portales is an individual health care provider with primary practice located at 580 W 8Th St Fl Towerii6 , Jacksonville FL 32209-6533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Dale, Lourdes Portales can be contacted via phone (860) 305-2908.

Contact Information

Primary practice address
580 W 8Th St Fl Towerii6 Jacksonville FL 32209-6533
Phone: (860) 305-2908
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002436 Connecticut
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 10538 Florida

Profile Details

NPI number 1952927600
LBN Legal business name Dale, Lourdes Portales
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2020
Last updated Jun 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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